Register below for the 2018 ride

terms

  1. Last Name*
    Last Name required!
  2. First Name*
    First Name required!
  3. Address*
    Address required!
  4. Date of Birth*
    Choose your date of birth
     (Click calendar then month to select your DOB)
  5. Gender*
    Are you a boy or a girl?
  6. Email Address*
    Invalid email address!
  7. Confirm Email*
    Invalid email address!
  8. Phone No.*
    Phone number required!
  9. Mobile No.
    Phone number required!
  10. Emergency Contact Name*
    Contacts name?
  11. Emergency Contact Phone*
    Contact's number?
  12. Ride Group*
    Ride group required!
  13. Jersey Size*
    Shirt is required!
  14. Existing Medical Cond.*
    Any medical conditions!
     (See conditions of entry above)
  15. Detailed Medical Info.
    Invalid Input
     (See conditions of entry above)
  16. Entry Payment - $220*
    Payment method!
  17. Additional Meal Tickets*
    Additional meals?
     (Extra Meal tickets for Saturday night's dinner)
  18. WAIVER RELEASE & INDEMNIFICATION
    In consideration of my entry in the 2018 Central South Island Charity Bike Ride, I have read and hereby agree to the Rules and Conditions of Entry. I hereby release, exempt and indemnify the organizers, sponsors and other persons and organizations involved from all action, proceeding, demands and costs, expenses and claims whatsoever made or taken by any person arising out of my participation in the 2018 Central South Island Charity Bike Ride.
    NB: Persons under the age of 18 cannot submit this online form, a parent or guardian is required to approve an entry for anyone under the age of 18. Please complete a Postal Form from the Registration Menu above if you are under 18.
  19. I agree with Waiver*
    Acceptance is required!
  20. Advertising*
    Please choose an option
     (How did you hear about the ride?)
  21. Anti Spam Security Code
    (Please enter the characters shown below)
  22. Anti Spam
    (enter the code shown)*

Support Crew Online Registration Forms

support

Support Crew Online Registration Forms are on this page

Postal Registrations

snailmail

Postal Entry Forms and detailed information are on this page

The Ride Newsletter